Therapeutic Hypothermia
Practice development issues around Induced Therapeutic Hypothermia (ITH) on Cardiac Arrest Patients
Contents
1. Introduction
2. Pathophysiological changes during cardiac arrest and return of spontaneous circulation
3. Physiological benefits of therapeutic hypothermia
4. Guideline for induced therapeutic hypothermia after cardiac arrest
5. The UHL guideline’s goal of therapeutic hypothermia
6. Preparation, Monitoring and Supportive therapy
7. Cooling Methods
8. The relative experience
9. The role of advanced clinical practitioner and multidisciplinary approach
10. Synthesis
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11. Conclusion
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1. Introduction
In UK, there are approximately 50,000 treated cardiac arrests, of which 5-30% of patients survive to leave the hospital every year (Intensive Care Society, 2008). The Majority of these patients have suffered ischemic brain injury, which results in severe disability or ultimately leads to death. Until recently, there has been no intervention proving a significant reduction in the incidence of brain injury in arrest survivors; however in recent years induced therapeutic hypothermia (ITH) has been used to improve the neurological outcome of comatose patients who had return of spontaneous circulation (ROSC) after resuscitation following sudden cardiac arrest (Holden & Makic 2006). Although it is an evidence-based method, it has its own limitations and complications.
The purpose of this assignment is to look at the current practice in own area, supporting national and international recommendations, review current literature and evidence-based nursing implications in caring for those patients. The physiological benefits of hypothermia, multidisciplinary approach of clinically cooled patients, practice development issues around these patients and scope of advanced nursing practice will also be discussed.
2. Pathophysiological changes during cardiac
Contents
1. Introduction
2. Pathophysiological changes during cardiac arrest and return of spontaneous circulation
3. Physiological benefits of therapeutic hypothermia
4. Guideline for induced therapeutic hypothermia after cardiac arrest
5. The UHL guideline’s goal of therapeutic hypothermia
6. Preparation, Monitoring and Supportive therapy
7. Cooling Methods
8. The relative experience
9. The role of advanced clinical practitioner and multidisciplinary approach
10. Synthesis
-------------------------------------------------
11. Conclusion
-------------------------------------------------
1. Introduction
In UK, there are approximately 50,000 treated cardiac arrests, of which 5-30% of patients survive to leave the hospital every year (Intensive Care Society, 2008). The Majority of these patients have suffered ischemic brain injury, which results in severe disability or ultimately leads to death. Until recently, there has been no intervention proving a significant reduction in the incidence of brain injury in arrest survivors; however in recent years induced therapeutic hypothermia (ITH) has been used to improve the neurological outcome of comatose patients who had return of spontaneous circulation (ROSC) after resuscitation following sudden cardiac arrest (Holden & Makic 2006). Although it is an evidence-based method, it has its own limitations and complications.
The purpose of this assignment is to look at the current practice in own area, supporting national and international recommendations, review current literature and evidence-based nursing implications in caring for those patients. The physiological benefits of hypothermia, multidisciplinary approach of clinically cooled patients, practice development issues around these patients and scope of advanced nursing practice will also be discussed.
2. Pathophysiological changes during cardiac